Bilingual Claims Examiner-REMOTE/HYBRID

Bilingual Claims Examiner-REMOTE/HYBRID

FULL TIME, PERMANENT

Location: (REMOTE - Ontario or Quebec) if outside GTA or Hybrid role if located in GTA) – Toronto

Hours: Mon-Fri – 8:30am-5pm (40 hours/wk.)

Salary:  Up to $85K

Company:  Our client is a licensed Life and Health Agency with Property and Casualty Broker licenses throughout Canada.  Due to continued growth, they are looking to add a key member to their team of claims professionals.

Perks:

• Company-paid health benefit plan (start day 1)
• Healthcare spending account
• Wellness spending account
• Life Insurance
• RRSP
• Employee development
• Casual dress code policy

Job Overview:

Reporting to the Director, Insurance Solutions, you will investigate and evaluate the eligibility of life, disability, and job loss claims.

• Ensure accurate and timely investigation, evaluation, and eligibility of life, disability, and job loss claims based on medical information, job requirements, non-medical factors, and policy terms within established service standards and operating protocols.
• Communicate decisions and recommendations to management and clients.
• Ensure accurate and timely documentation of all communication with customers.
• Collaborate with management to exchange ideas, gather information, and offer solutions on claims.
• Ensure proactive communication with policyholders regarding claim status and developments.
• Provide claims administrative support to other departments when required.

• Fluently bilingual in French and English.
• Strong analytical, problem-solving, and decision-making skills.
• Ability to interact with clients and other stakeholders at all levels.
• Strong Microsoft Office Word skills.

• Willingness to take industry courses.

• At least 5 years’ experience in claims administration in the life insurance industry.
• Experience dealing with medical professionals.